Individual provider Active NPI

Warren Arthur Maddox Jr., DC

  • Chiropractor
  • Londonderry, NH
National Provider Identifier
1740367408
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
116-0459-0183A Issued in NH
Practice address
80 Nashua Rd
Londonderry, NH 03053-3426
Phone
(603) 437-1700
Fax
(603) 437-1565
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 116-0459-0183A NH Primary

Addresses

Primary practice location

80 Nashua Rd
Londonderry, NH 03053-3426

Mailing address

80 Nashua Rd
Londonderry, NH 03053-3426
Phone (603) 437-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000135 NH Practitioner - Chiropractic 3779752092 Practice locations: Londonderry, NH
I20170103000259 MA Practitioner - Chiropractic 3779752092 Practice locations: Andover, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Nashua Rd
Unit A5
Londonderry, NH 03053-3446
Phone (603) 437-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116-0459-0183ANHMDChiropractor
741MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly a. Delorey, D.C., Inc. Chiropractor PastSince Aug 16, 2017 Accepting new patients
Maddox Chiropractic Chiropractor PastSince Oct 8, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1740367408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NASHUA RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533426",
            "telephone_number": "603-437-1700",
            "fax_number": "603-437-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NASHUA RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533426",
            "telephone_number": "603-437-1700",
            "fax_number": "603-437-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "WARREN",
        "middle_name": "ARTHUR",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "116-0459-0183A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.